HomeMy WebLinkAboutPermit Electrical 2009-9-10
;.
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:turnbo64@juno.com
Check on status of permit
By Phone: 541-726"-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New Cons~uction 0 Addition/alteration/replacement I
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Cit)'IStateJZIP: SPRINGFIELD, OR 97477
SuileJbldg.lapt,no,:
Project Name:
Cross Street/directions to job site: Hayden Bridge Way turn left onto 3rd SI. turn right onto
blackstone
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heat pump add
Nllme: Jack Hartman
Phone: 541-746-5269
Fax:
Email:
Elec lic, no.: 20-50SC
CCBlic, no,: IS6308
Business Name: TURNBO CARTER ELECTRIC INC
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I Contact: TV..:.~ i:,_~._
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I Metro lie. no.: City lie, no,:
I Supervising Electrician's Iic, no,: 4770S
I Supervising Electrician's Name: James Turnb;o
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local jurisdiction, your permit will be
e-mailed or faxed within ~ne business day, with instructions on how to
schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days ifa pennit is
not obtained,
The local building department may determine that an Authorization To Begin
Work is null and void If It does not meet applicable land use laws and local
ordinances
PleaS~ check all that apply:
DAserviceorfeederbegioo;ngat400
Anlpswhcrethcavailablefault
current exceeds 10.000 Amps al
150 Volr'~ or less 10 ground exceeds
14,000 Ampsfor,all orher
installations
DFirepllmp;
DEm~rgen~y systems
o Addirion ofa newmolor load of
lOO HP Or more
o Six or more residenlial uniisinone
Slru~rUfe
o Health cnrefacililies
69600-BEL-09-00 127
9/10/2009 1:48 pm
Appro\:al Code: 384487
DHazardollS'ocations
DAser...i~eorfeederrated.at600
amps or more
DSuildings more than three Slories
OMarinasandboatyards
OFloalingbuildings
Dcommercial-useagricultural
buildings
DIllslallalionofalSOKVAorlarger
sep~rately derwed sys
D"A","E",OI"I;2"of"I-3"
DRecrealionalVehiclePar~s
DSUpplyvoltageformorethan600
supply vol1s nominal
I Description
I Branch circuitswithoul service or
feeder
of pen nil fees
I Subtotal
I State surcharge (12% of penn it total)
I Technology fee (5% of penn it total)
I TOTAL PERMIT'FEE
I
jh'!
$SS_OOI
$3.001
$5',001
$6,961,
$2.90)
$67,861
en -12yl 'J- k'SL.
q 110101
ATTENTION: Oregon law requires youto
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001 -0010 through OAH952-001-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800,332-2344).
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01212
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 03/1012010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 390 BLACKSTONE ST
ASSESSOR'S PARCEL NO.: 1703233407700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DE!'CRIPTION: Install heat pump and air conditioner in residence
Residential
Owner:
Address:
HARTMAN JACK
390 BLACKSTONE CT
SPRINGFIELD OR 97477
I CONTRACTOR INFORM;:\TION I
Contractor Type
Electrical
Mechanical
Contractor
TURNBO CARTER ELECTRIC INC
CHITTIM ENTERPRISES I INC
License
156308
47396
Expiration Date
07/14/2011
03/24/2011
Phone
541-729-8409
541-461-2101
I. BUILDING INFORMATIO,N I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPM,ENT INFORMATION'
I PUBLIC IM,PROVEMENTS I
REQUIRED PARKING
ATTENTION: Orego;rdt~I:reqllires you to
toHow rules adoptecHa-"dicapP~9,:Jn Utility
~otlllcatlOn Center, T(!:ompact:s are set lorth
In OAR 952-001.0010 through OAR 952-001-
0090,. You may obtain copies 01 the rules by
call1na thp. r.p.ntAr Il\lnto' the t......I,.,......h.....~_
number lor the Oregon Utility Notiiication
Center is 1-800-332-2344),
Sidewalk Type:
NOTICE:
Fron~Hffi~t~~Ii~:r SHALL EXPIRE IF THE WOR~verlay Dist: '
S~de Ih~~\~8JgIZED UNDER THIS PERMIT IS NOIf Street ~rees Rqd:
S.de 2(Setliack: ICFD OR S B NDONED FOR Paved Dnve Rqd:
Rearya~ijVS~tb~ck: I A A % of Lot Coverage:
SolarS~t~aHm DAY PERIOD,
Street Improvemeuts:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
Pa2e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Pairl .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Ist Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
$9.48
$3,95
$79,00
$6,96
$2,90
$58,00
Total Amount Paid
$160.29
I Plan Reviews I
Date Paid
8/20/09
8/20/09
8120/09
9/10/09
9/10/09
9/10/09
CITY OF SPRINGFIELD
Building/Combination Permi~
PERMIT NO: COM2009-01212
ISSUED: 08120/2009
APPLIED: 08/20/2009
EXPIRES: 03/10/2010
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000948
1200900000000000948
1200900000000000948
3200900000000000644
3200900000000000644
3200900000000000644
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
-I Reouirerllnsnections'
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01212
ISSUED: 08/20/2009
APPLIED: 0812012009
EXPIRES: 03/10/2010 .
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informatiou hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with'
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure ,,:ithout permission of the Community Services Division, Building Safety,
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 3 01'3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01212
COM2009-01212
COM2009-01212
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
Description
Add, Alter, Extend Clrc
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
3200900000000000644
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/1012009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page 1 of I
ONLINE TURNBO Online
CARTER
ELECTRIC
Payment Total:
2:14:20PM "
Amount Due
58,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67,86
9/10/2009